Laura Marie Wheeler, PCC, MFT

Individual provider Active NPI Professional Counselor · Wakeman, OH

NPI 1295034247 · NPPES record last updated Apr 23, 2019

Key facts

NPI
1295034247
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
E.0900021 (OH)
Practice address
59 E Main St
Wakeman, OH 44889
Phone
(440) 839-2200
Fax
(888) 408-7306
NPI assigned
Mar 16, 2011
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
E.0900021OHMDProfessional Counselor
M.0900029OHMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Couples, Children, Family, and Individual Counseling, LLC Past Accepting new patients
Ccfi Counseling, LLC Marriage & Family Therapist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X M.0900029 OH
Professional Counselor 101YP2500X E.0900021 OH Yes

Addresses

Primary practice location

59 E Main St
Wakeman, OH 44889

Mailing address

59 E Main St
Wakeman, OH 44889-9299
Phone (440) 839-2200

Other practice location 1

292 Benedict Ave
Norwalk, OH 44857-2374
Phone (419) 663-3737 ext. 3132

Other practice location 2

292 Benedict Ave
Norwalk, OH 44857-2374
Phone (419) 663-3737 ext. 3132

Other providers in Wakeman, OH

All providers in Wakeman, OH · Professional Counselor in Ohio

Sources for this page

Verify at the official NPI Registry.